| NPI | 1316435928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IN 02006637A) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: MI 5315091412) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2022-06-07 |